Director Credentialing jobs in United States
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Hospital for Special Surgery · 1 week ago

Director Credentialing

Hospital for Special Surgery is consistently ranked among the top hospitals for orthopedics and rheumatology. The Director of Credentialing will oversee the credentialing processes for medical staff and allied health professionals, ensuring compliance with various regulations and managing departmental operations.

Health CareMedical
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Comp. & Benefits
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H1B Sponsor Likelynote

Responsibilities

Exercises Leadership - Oversees others. Supervises Coordinators
Exercises Leadership - Manages credentialing processes at main campus and regional sites. Oversees all aspects of credentialing of HSS Medical Staff, Allied Health Professional Staff and Graduate Medical Education Staff, for initial and reappointments, as required by TJC, NYS DOH, NCQA, ACGME and HSS Medical Board as applicable
Exercises Leadership - Manages operations. Oversees operations of the credentialing office and assumes departmental leadership, as needed
Exercises Leadership - Meets with faculty. Meets with Faculty to review new Program requests and Delineation of Privileges
Coaching & Development – Helps staff grow in areas such as primary-source verification, payer enrollment, or data integrity
Clear Expectations & Accountability – Sets measurable KPIs for turnaround times, accuracy, productivity, and compliance
Delegation & Workload Balancing – Manages capacity during peak volumes, reappointments, and onboarding cycles
Ensures Quality Outcomes - Serves as liaison. Acts as liaison between graduate medical trainees, external GME Offices and Departmental offices, and HSS Medical Staff Office, Legal Affairs Department and OHS to assure completed applications
Maintains Documentation & Manages Information - Oversees credentialing information. Ensures that the Department maintains a database on credentialing information along with a hard copy of each trainee file
Maintains Documentation & Manages Information - Generates reports. Generates relevant database reports, including but not limited to; monthly report of appointments for the Credential Committee, Medical Board and Board of Trustees
Maintains Documentation & Manages Information - Maintains malpractice records. Maintains accurate and timely malpractice histories by coordinating information obtained from physicians, NPDB, malpractice insurance carriers and affiliated healthcare facilities, within the guidelines of NYS law 2805K
Audit Management – Guides staff through internal/external audits and provides coaching based on findings
Supports Department Activities - Participates in initiatives. Participates in Education Institute projects and activities
Upholds Standards/Expectations of HSS Staff - Demonstrates effective communication skills. Communicates in an organized, illustrative and courteous manner, both verbally and in writing, with physicians and coworkers
Perform other duties and special projects as assigned

Qualification

Healthcare AdministrationSupervisory AbilityCPCS CertificationProblem SolvingOral CommunicationWritten CommunicationOrganizational Skills

Required

5-7 years of experience in Healthcare/Medical - Healthcare Administration
A Bachelor's degree (e. g., BA, BS, BSN, BSW)
Proven supervisory ability
Knowledge of healthcare
Good oral and written communication skills
Strong problem solving skills
Excellent organizational skills

Preferred

Masters
CPCS Certification

Company

Hospital for Special Surgery

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Hospital for special surgery is the top ranked new york hospital for orthopedics and rheumatology.

H1B Sponsorship

Hospital for Special Surgery has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (26)
2024 (20)
2023 (27)
2022 (32)
2021 (18)
2020 (27)

Funding

Current Stage
Late Stage
Total Funding
$36.6M
Key Investors
Stavros Niarchos Foundation (SNF)Flare Capital Partners
2023-06-12Grant· $10M
2022-10-25Series A· $21M
2018-07-16Grant· $5.6M

Leadership Team

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Tara M. McCoy
Chief Executive Officer, HSS Florida
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Bill Donato
Senior Advisor Supply Chain
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Company data provided by crunchbase